What Is the Synovium?
The synovial cell is the inner layer of the joint capsule. It is light red, smooth and shiny, thin and soft, and consists of loose connective tissue. Covers the connective tissue membrane on the inside of the joint capsule.
- Chinese name
- Synovial membrane
- Constitute
- Consists of loose connective tissue
- Features
- Light red, smooth glitter, thin and soft
- Features
- Manufacturing and adjustment of synovial fluid, etc.
- The synovial cell is the inner layer of the joint capsule. It is light red, smooth and shiny, thin and soft, and consists of loose connective tissue. Covers the connective tissue membrane on the inside of the joint capsule.
Histological structure of synovium
- Consists of matrix and cells and fibers. The inner surface is smooth, with 1 to 3 layers of connective tissue cells, also known as synovial cells. It can be seen under the electron microscope that they are separated from each other and connected by fine spines. Cells can be classified into two types based on their functional status. Synovial cells are involved in the formation of hyaluronic acid in synovial fluid. Below the cell layer is a capillary network. Below it is a fibrous tissue. Its thickness varies depending on the site. It contains blood vessels, lymphatic vessels, and nerve fibers. Cell components include fibroblasts, macrophages, mast cells, and fat cells. The surface layer of the synovium is damaged, and this layer or the fibrous layer of the joint capsule can be reformed. In addition, the synovium also forms synovial sacs or sheaths at other sites.
Synovium- related diseases and treatment
- 1. Acute synovitis of the knee joint refers to the non-infectious inflammation of the synovium caused by acute trauma of the knee joint. The disease usually manifests as pathological changes such as hyperemia, edema, and hyperplasia of the synovial tissue. Synovial tissue exudate leads to fluid accumulation in the joint, and joint swelling and pain are obvious. If the acute phase is not effectively controlled, a large number of synovial tissue hyperplasia and fibrosis can easily cause joint adhesion, and form recurrent chronic synovitis, which seriously affects the quality of life of patients. In recent years, with the development of arthroscopic technology, arthroscopic synovectomy and clearing surgery is one of the methods for treating acute synovitis of the knee joint. However, some patients have poor postoperative results and even worsen their condition. Traditional Chinese medicine believes that acute synovitis of the knee joint is caused by the combination of cold, dampness, obstruction, phlegm drinking, and joints of wind, cold, and dampness. Traditional Chinese medicine for the treatment of knee synovitis has been a research hotspot in recent years. The second department of orthopedics of Nanchang Integrated Chinese and Western Medicine Hospital used arthroscopic synovectomy for the treatment of acute knee synovitis. The external application of powder has satisfactory clinical effect.
- 2. Diagnostic criteria: According to the "Traditional Chinese Medicine Diagnosis and Efficacy Criteria", the following cases are diagnosed as traumatic synovitis: high age, fat body; history of trauma or strain; knee pain and swelling Swelling and knee flexion were difficult; Floating test was positive; martial articular puncture was light pink liquid or light yellow transparent liquid.
- 3. To sum up: the clinical effect of arthroscope combined with Shujin Huoxue Powder for acute knee synovitis is definite, and the short-term effect is satisfactory, which is better than that of conventional arthroscopic synovectomy, and the traditional Chinese medicine is cheap and clinically applied. It is simple and effective, with few side effects, and is worthy of clinical promotion. Due to the limited pharmacological research of traditional Chinese medicine, the specific medicinal mechanism still needs to be further explored. Based on the insufficiency of this study and the characteristics of medications for liver disease, the examination of the causes and the treatment of syndrome differentiation have become the main points and strategies of traditional Chinese medicine to treat liver cancer. The medicine tastes calm to protect the stomach qi. There is a saying in the stomach that "if you get stomach qi, you will lose it, but if you lose it, you will die." Therefore, when choosing the medicine taste, it is better to choose a product with a gentle taste. Patients with liver cancer are accompanied by symptoms of liver depression and qi stagnation, emotional depression or anger, liver loss, dysfunction of liver meridian, blockage of air-conditioning, and so on. Linzheng mostly used the method of relieving liver and relieving depression, and relieving liver and nourishing yin, in order to prevent excessive relief. Use the poisonous product with caution to protect the liver. Most drugs with certain anti-cancer effects have certain toxicity, so be careful when selecting them. Because most patients with liver cancer have liver dysfunction to varying degrees, the detoxification function of the liver is also affected. As early as in the "Inner Canon", he put forward: "Heavy poisons cure disease, ten of them go to six." In clinical practice, choose drugs with caution to protect the liver. Good at using the right medicine, through the flexible compatibility of the medicine, so as to receive the best synergy.